Contract Details
Ancillary Care Services
Facility name
Mark Chiropractic & Rehab Center
Provider ID
P000006546
Tax ID
500006611
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
27130 Glen Loch Drive
The Woodlands, TX 77381
United States
County
Montgomery
Phone
2812920808 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address